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| April 28, 2020 |
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Healio
A panel of American physicians, statisticians and other experts has developed NIH treatment guidelines for COVID-19 that are intended for healthcare providers. The guidelines will be updated as more data emerge throughout the course of the pandemic.
The guidelines are the latest in a series of treatment recommendations that have been published since the virus emerged.
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- Several states have stay-at-home orders expiring this week. Texas, Florida, Tennessee, Colorado, Louisiana, and Arizona. But contradictory rules throughout the states could undermine weeks of messages urging Americans to stay home and could endanger the entire nation’s ability to beat back the pandemic.
- Texas and Colorado in specific have allowed retail, restaurants, movie theaters, malls, barbers, and other less-essential businesses in counties outside of city borders to open up at 25% capacity.
- While good in theory, health experts are concerned about outsiders traveling to these counties. “If you want a hamburger on a Friday night and your favorite restaurant is closed in Nashville or Memphis, you’re probably going to drive 20 minutes down the road,” said Dr. Aaron Milstone, a pulmonary specialist in Franklin, Tenn.
Read full article.
- California has added 80 testing sites to the 600 now operating in hospitals, clinics, homeless shelters and pop-up sites. Gov. Newsom said the new ones will be added in “testing deserts” — rural areas and poor urban communities that are disproportionately harmed by COVID-19.
- More than half of the existing test sites said in a state survey that their biggest roadblock to expansion is that they lack enough swabs, which are used to collect nasal and throat specimens. According to Gov. Newsom’s April 27th press briefing, California received 90,000 swabs last week and is scheduled to receive 250,000 next week and more the week after that.
- If labs had enough equipment and could operate “100% at full throttle,” California could conduct 95,000 tests a day, Newsom said. But this doesn’t account for many people who need to be tested multiple times to determine when they are free of the virus.
Read full article.
- There are now 72 registered clinical trials ongoing in the U.S. and abroad, according to the Food and Drug Administration.
- Eight treatments and five vaccines are among the most-watched with phased trials rolled out in the U.S., China, Japan, South Korea, U.K., France, Italy, Spain, Germany, and the Netherlands.
- The biggest struggle? Finding patients infected in varying degrees to participate in the trials.
Read about the top 13 most promising treatments and vaccines.
- The federal health agency changed its website to cite the following symptoms as possible indicators of Covid-19, the infection caused by the coronavirus: chills, repeated shaking with chills, muscle pain, headache, sore throat, and new loss of taste or smell. Previously it had listed just three symptoms: fever, cough and shortness of breath.
- The revised C.D.C. list differs somewhat from the symptoms described by the World Health Organization on its website. The W.H.O. says the most common symptoms are fever, dry cough and tiredness. “Some patients may have aches and pains, nasal congestion, sore throat or diarrhea,” the W.H.O. says. “These symptoms are usually mild and begin gradually.”
- You and your patients can use the CDC’s Self-Checker tool to help you decide when to seek medical care.
Read the full article.
According to some reports, in Chicago, African Americans account for more than half of all COVID-19 positive test results and 72% of recorded virus-related deaths, although they constitute only 32% of the city's population. In Milwaukee, African Americans account for 73% of all COVID-19 deaths, although they make up just 28% of residents. Similar data is beginning to be reported in additional communities across the nation.
Join America’s hospitals and health systems, physicians, and nurses urging HHS to increase the availability of testing, ensure access to equitable treatment and disseminate timely, relevant, culturally appropriate and culturally sensitive public health information.
Share ANA’s letter to HHS Secretary by copying the URL and posting the link on Facebook and LinkedIn. Thank you for your support!*
*ANA\California will be diving deeper into California’s response to racial and health disparities, initiatives by the National Black Nurses Association, and offering more ways to advocate for our minority populations in our May 7th issue of The Pioneer newsletter. Stay tuned!
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With coronavirus vaccines and treatments in phased trials, health care experts are anticipating concerns from patients regarding the benefits and risks of vaccines. JoEllen Wolicki, BSN RN PHN and Nurse Educator at the CDC for nearly 25 years, offers a framework for improving communication with patients and their families about the importance of vaccines.
C.A.S.E.
- Corroborate: Acknowledge the parent’s concern; find some point on which you can agree; validate the emotion
- About me: Describe what you have done to build your knowledge base and expertise
- Science: Describe what the science says; provide accurate, truthful, and documented information
- Explain/advise: Advise parent/patient based on the science
Visit page 28 for examples of using C.A.S.E.
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West Coast University Online can help you launch a career for life with undergraduate and graduate degrees in nursing, health administration and public health. WCU’s Online programs are flexible and designed to fit the busy schedule of working adults – like you! Since all coursework is done online, you can earn your healthcare degree on your schedule! It’s your career – what will you make of it?
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| | EDUCATIONAL EVENTS AND RESEARCH |
This inspired "Global Coherence" event will occur on May 12, 2020 at 12 p.m. (local time)—around the world and across all time zones—to celebrate our shared service to humanity.
Click here to register.
The American Nurses Association has created a care package of free courses to thank the entire nursing community supporting the COVID-19 response. Visit the Care Package website to access the content here.
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In response to the COVID-19 pandemic, Hilton and American Express, will donate one million room nights for frontline medical professionals in the United States. Frontline medical personnel, including Nurses, Physicians, EMT and other frontline healthcare professionals. They are making this offer in conjunction with 10 Associations, including ANA. ANA members will be able to access free rooms at no cost through this program. This offer is currently scheduled to run through May 31, 2020. Based on Hilton requirement, this offer is limited to ANA members only and it includes all ANA Membership types except for state-only members or ANA Student Subscribers. To take advantage of this benefits, ANA Members click here; non-members, click here.
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Earn your MSN at University of the Pacific – featuring specializations in Diabetes, Rehabilitation Nursing, and Primary Care Management. The accelerated online program is designed for working professionals, with curriculum designed by nationally recognized experts and faculty .
Attend our next webinar to learn more about the MSN program. Learn More
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| | NEWS FROM AROUND THE INDUSTRY |
NBC News
A nurse at Cedars-Sinai Medical Center in Los Angeles said she was sent home after refusing to wear a surgical mask instead of a protective respirator to treat COVID-19 patients — and that she was denied a coronavirus test even after she began displaying symptoms.
A nurse at a hospital in Kentucky said she was reprimanded for insubordination and reassigned for refusing to treat COVID-19 patients when the hospital would not supply her with an N95 mask.
A nurse in New Jersey said he was fired after speaking out publicly about the lack of proper protective gear during the pandemic. All three nurses said they believe they are being persecuted for simply trying to protect themselves and others, and some experts agree.
READ MORE
CNN
As hospitals worldwide face severe shortages of health professionals, people are being called off the sidelines to help COVID-19 patients — even those with little to no experience in treating infectious diseases.
To train thousands of doctors and nurses with expertise in other areas such as knee surgery or neurology — and retired practitioners reentering the medical field — some hospitals are implementing an unlikely method: virtual reality simulations.
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HealthDay News
Vaccines for measles, mumps, rubella and varicella are highly effective and do not cause autism, say researchers who reviewed 138 studies that included 23 million children.
"In terms of safety, we know from previous studies all around the world that the risks posed by these diseases far outweigh those of the vaccines administered to prevent them," said lead author Dr. Carlo Di Pietrantonj. "In this review, we wanted to look at evidence for specific harms that have been linked with these vaccines in public debate — often without rigorous scientific evidence as a basis."
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By Keith Carlson
 In these days of the COVID-19 pandemic, many of us find ourselves wondering what evidence-based information we should follow and what news sources to avoid. We may first choose to do this simply to keep ourselves sane and focused amidst the noise so that we can function as both citizens and healthcare professionals. Having said that, we are also likely to feel the heavy responsibility of curating information so that we can translate the firehose of pandemic-related information for our loved ones who turn to us for reassurance, education, and clarity. Where do we begin?
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UT Southwestern Medical Center via ScienceDaily
A new protocol using highly sensitive blood tests to determine whether someone is having a heart attack can reduce wait times and overcrowding in emergency departments, according to a new study from UT Southwestern Medical Center.
The findings, published online in JAMA Open, are particularly meaningful during the current coronavirus pandemic when many people with chest pain may be fearful of going to the hospital.
READ MORE
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Whether you’re seeking advanced clinical roles or a new position as an educator or researcher, the Betty Irene Moore School of Nursing at UC Davis prepares you to embrace new opportunities. Our dedicated faculty partner with you and invest in your success. Learn more at nursing.ucdavis.edu/AdvanceYourCareer.
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At NorthBay Healthcare, we are devoted to creating an environment that nurtures and nourishes a commitment to compassionate care, and just as importantly, allows you to flourish. So join us, and be part of an incredible community of dedicated professionals who share the same passion to provide exceptional patient care.
Read more
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University of California - San Francisco via ScienceDaily
Virologists report promising Phase 1 clinical results for the first new oral polio vaccine in 50 years, which they have designed to be incapable of evolving the ability to cause disease in humans.
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HealthDay News
The number of American adults with high cholesterol dropped nearly eight percentage points from 2000 to 2018, health officials reported Wednesday.
By 2018, just over 11 percent of adults age 20 and over had high cholesterol, a major cause of heart disease, according to a new report from the U.S. Centers for Disease Control and Prevention.
"The Healthy People 2020 Guidelines has established a goal of lowering the percent of adults with high total cholesterol to no more than nearly 14 percent. Apart from adults 40 to 59 years, this goal has been met," said lead researcher Margaret Carroll, a statistician at CDC's National Center for Health Statistics.
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By Scott E. Rupp
 The cratering of the healthcare job market has continued as COVID-19 spreads across the United States. In all sectors, more than 22 million people have filed for unemployment benefits as of April 17, with the virus, for now, wiping out a decade of job gains. The U.S. has not seen this level of job loss since the Great Depression. Healthcare, long seen as an untouchable career field — safe from the ups and downs of the economy — is among the sectors hardest hit by the pandemic.
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German Cancer Research Center via Medical Xpress
A receptor in the cell layer that lines the blood vessels from the inside stimulates both the formation of new blood vessels in tumors and metastasis. Scientists at the German Cancer Research Center in Heidelberg and the Mannheim Medical Faculty of the University of Heidelberg have succeeded in blocking this receptor with an antibody to thus prevent the growth of metastases in mice with breast or lung cancer. In animal experiments, they have thus shown a new principle for slowing down the metastatic dissemination of cancer cells.
READ MORE
University of California - San Diego via PhysOrg
Flipping the standard viral drug targeting approach on its head, engineers at the University of California San Diego have developed a promising new "nanosponge" method for preventing HIV from proliferating in the body: coating polymer nanoparticles with the membranes of T helper cells and turning them into decoys to intercept viral particles and block them from binding and infiltrating the body's actual immune cells.
READ MORE
University of Edinburgh via Medical Xpress
Key cells found in abdominal fat tissue could aid the fight against life-threatening infections including sepsis, research suggests.
Experts say the cells—located in the curtain of tissue that covers the intestines—play a vital role in containing the spread of peritonitis, which is triggered by abdominal infection after a perforation in the intestines.
The study could pave the way for new treatments to combat sepsis, which kills more than 50,000 people in the UK each year and is the leading preventable cause of death worldwide.
READ MORE
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